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Medication Safety
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Including medicines with Risk Minimisation Measures (RMM) in PGDs
10 November 2025
·
Medicines with RMM may not be suitable for inclusion within Patient Group Directions (PGDs). If used, the RMM must be stated within the PGD.
Managing risks of betamethasone soluble tablets used as mouthwash
13 May 2024
·
Serious side effects can be caused if betamethasone soluble tablets used as mouthwash are swallowed. Providing clear patient directions can help prevent harm.
The Medication Safety Officer (MSO) role
29 April 2026
·
Understanding the role and responsibilities of the MSO in practice will help organisations deliver their medication safety agenda.
Ensuring time critical use of rasburicase
9 September 2025
·
Timely use of rasburicase for treatment of tumour lysis syndrome is essential. Mitigation strategies can minimise harm associated with delayed therapy.
Managing the risks of using liquid oral phenobarbital
2 November 2023
·
Minimising the risk of confusion between phenobarbital liquid formulations and awareness of alcohol content may prevent harms.
Investigating suspected tampering with medicines
11 June 2024
·
A systematic approach should be taken to responding to reports of possible malicious tampering, securing the evidence, and seeking specialist advice and support
Managing reactions to dental local anaesthetic injections
30 July 2024
·
Reactions to dental local anaesthetics (LA) are usually psychogenic. We describe symptoms and management of allergy, adverse effects and psychogenic reactions.
Learning from medication safety events
20 May 2026
·
Practical guidance to ensure learning from local safety events is translated into shared local and national learning.
Use of injectable medicines for multiple doses
27 May 2026
·
Using injectable medicines for multiple doses increases the risk of contamination, error and patient harm.
Assessment and storage of medicines for self-administration
17 January 2025
·
Suitable medicines must be stored safely and securely in accordance with organisational policy, while still supporting self-administration
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